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Organization
PALM BEACH OBSTETRICS & GYNECOLOGY, PA
Active
Organization
PALM BEACH OBSTETRICS & GYNECOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIAN VITERI (ADMINISTRATOR)
(561) 434-0111
Entity
Organization
Contact information
Practice address
4671 S CONGRESS AVE, SUITE 100B, LAKE WORTH, FL 33461-4783
(561) 434-0111
(561) 296-3533
Mailing address
4671 S CONGRESS AVE, SUITE 100B, LAKE WORTH, FL 33461-4783
(561) 434-0111
(561) 296-3533
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002004200
—
FL
05
—
004197300
—
FL
05
—
256189100
—
FL
05
—
272505300
—
FL
05
—
272506100
—
FL
05
—
371772100
—
FL
Enumeration date
03/13/2008
Last updated
04/03/2018
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